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激光光凝对兔视网膜与视网膜色素上皮之间黏附力的影响

Changes in adhesive force between the retina and the retinal pigment epithelium by laser photocoagulation in rabbits.

作者信息

Kwon O W, Kim S Y

机构信息

Department of Ophthalmology Yonsei University College of Medicine, Seoul, Korea.

出版信息

Yonsei Med J. 1995 Jul;36(3):243-50. doi: 10.3349/ymj.1995.36.3.243.

Abstract

A closed eyeball model was designed to estimate the chorioretinal adhesion of the laser-photocoagulated region. We used it to measure the duration of development of retinal detachment during vitrectomy before and after killing the test rabbits. During testing, negative pressure was applied into the vitreous cavity of the pigmented rabbits. Laser burns were produced in the posterior retina by exposure to an argon blue-green laser beam with a focus diameter of 200 microns of 0.1 to 0.2 second duration and 150 to 250 mW intensity. One hour and one, two, five, seven and fourteen days following laser photocoagulation, vitrectomy was done with a cutting rate of 500 per minute, aspiration pressure of 50 mmHg and infusion pressure of 55.2 mmHg. After core vitrectomy, the rabbit was killed with an intravenous bolus of 100 mg sodium pentobarbital solution. After killing the rabbit, the vitreous cavity was continuously aspirated under the pressure of 25 mmHg while the infusion was stopped. The changes of the fundus, especially development of retinal detachment, were observed in the laser-treated and untreated regions before and after killing the rabbit. When retinal detachment was noted anywhere before killing the rabbit, this postmortem change was not observed. One hour following laser photocoagulation, the laser-treated retina was detached during core vitrectomy before killing the rabbit, and the untreated area was not detached. One day following photocoagulation, the retina was intact before killing the rabbit. After killing the rabbit, the laser-treated retina was detached in four minutes and the untreated retina in 18 minutes postmortem.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

设计了一种闭合眼球模型,以估计激光光凝区域的脉络膜视网膜粘连。我们用它来测量在处死实验兔前后玻璃体切除术中视网膜脱离发展的持续时间。在测试过程中,对有色兔的玻璃体腔施加负压。通过暴露于氩蓝绿激光束在视网膜后部产生激光灼伤,激光束的聚焦直径为200微米,持续时间为0.1至0.2秒,强度为150至250毫瓦。在激光光凝后1小时、1天、2天、5天、7天和14天,以每分钟500次的切割速率、50 mmHg的抽吸压力和55.2 mmHg的输注压力进行玻璃体切除术。在核心玻璃体切除术后,用静脉推注100 mg戊巴比妥钠溶液处死兔子。处死兔子后,在停止输注的同时,在25 mmHg的压力下持续抽吸玻璃体腔。在处死兔子前后,观察激光治疗区和未治疗区眼底的变化,特别是视网膜脱离的发展情况。如果在处死兔子前在任何部位发现视网膜脱离,则不观察这种死后变化。激光光凝后1小时,在处死兔子前进行核心玻璃体切除术时,激光治疗的视网膜发生脱离,而未治疗区域未脱离。光凝后1天,处死兔子前视网膜完整。处死兔子后,激光治疗的视网膜在死后4分钟发生脱离,未治疗的视网膜在18分钟发生脱离。(摘要截短至250字)

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